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U.S. Department of Health and Human Services

Class 2 Device Recall Brilliance Big Bore Computed Tomography XRay Scanning Systems

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  Class 2 Device Recall Brilliance Big Bore Computed Tomography XRay Scanning Systems see related information
Date Initiated by Firm March 26, 2012
Date Posted May 30, 2012
Recall Status1 Terminated 3 on February 22, 2013
Recall Number Z-1692-2012
Recall Event ID 61762
510(K)Number K012009  K033326  K033357  K060937  
Product Classification System, x-ray, tomography, computed - Product Code JAK
Product Brilliance Big Bore - Model #728243, and - Model #728244, CT Scanning System is subject to recall/correction

Product Usage:
The Brilliance 6, 16, 40 64, Brilliance Big Bore, iCT, iCT SP and Ingenuity CT are Computed Tomography X-Ray Systems that are intended to produce cross-sectional images of the body by computer reconstruction of X-Ray transmission data taken at different angles and planes. These devices may include signal analysis and display equipment , patient, and equipment supports, components and accessories.
Code Information Serial numbers: 7511, 7543, 7508, 7536, 7510, 7532, 7533, 7523, 7530, 7514,7502, 7551
Recalling Firm/
Manufacturer
Philips Medical Systems (Cleveland) Inc
595 Miner Road
Cleveland OH 44143-2131
For Additional Information Contact Jose4ph Vinhais
440-483-7000
Manufacturer Reason
for Recall
Component defect. Following their receipt of a customer complaint, Philips Medical determined that the metal blocks which support the scissor slide rails underneath the scanning table (couch) of several of the firm's CT scanning systems were not manufactured to specification and may crack.
FDA Determined
Cause 2
Nonconforming Material/Component
Action Philips issued an 'URGENT Medical Device Correction' letter dated March 27, 2012 to all affected customers. The letter identified the affected products, problem, hazard involved, how to identify affected products, and actions to be taken by customer/user. The letter informed customers that Philips intends to dispatching service personnel to each customer site in order to correct this issue. In the meantime, the letter recommend customer to contact their Philips representative if they hear unusual noises when moving the couch vertically, or if there is unintended vertical motion of the couch. For questions contact your local Philips representative or local Philips Healthcare office. For North America and Canada contact the Customer Care Solutions Center 1-800-722-9377, option 5: Enter Site ID or follow the prompts.
Quantity in Commerce 12 system units were distributed in the U.S.
Distribution Worldwide Distribution - U.S. (Nationwide) including the states of: CA, FL,, HI, IA, IN, KY, LA, MA,, MI, MO, MS. NM, NV, OH, PA, PA, SC, TN, TX, WA, and Puerto Rico
Total Product Life Cycle TPLC Device Report

1 A record in this database is created when a firm initiates a correction or removal action. The record is updated if the FDA identifies a violation and classifies the action as a recall, and it is updated for a final time when the recall is terminated. Learn more about medical device recalls.
2 Per FDA policy, recall cause determinations are subject to modification up to the point of termination of the recall.
3 For details about termination of a recall see Code of Federal Regulations (CFR) Title 21 §7.55.
510(K) Database 510(K)s with Product Code = JAK and Original Applicant = MARCONI MEDICAL SYSTEMS, INC.
510(K)s with Product Code = JAK and Original Applicant = PHILIPS MEDICAL SYSTEMS(CLEVELAND), INC.
510(K)s with Product Code = JAK and Original Applicant = PHILIPS MEDICAL SYSTEMS, INC.
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